Richard R. Russell, O.D.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

872-292T Issued in LA

Legal business name

RICHARD R. RUSSELL, O.D.

Practice address

210 S Odom St
Bastrop, LA 71220-4631

Phone

(318) 281-2200

Fax

(318) 281-7359

NPI assigned

Mar 13, 2009

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Rawls Russell, O.D.NPI 1467529834

Title

Optometrist

Phone

(318) 281-2200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Rawls Russell, O.D.

  • Optometrist
  • Bastrop, LA
  • NPI 1467529834
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1679714158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S ODOM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204631",
            "telephone_number": "318-281-2200",
            "fax_number": "318-281-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S ODOM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204631",
            "telephone_number": "318-281-2200",
            "fax_number": "318-281-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. RUSSELL, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RAWLS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "318-281-2200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "872-292T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.